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Gene Therapy Trial Report

Summary

A Phase I/II Open-label Safety and Efficacy Study of LNP.UCD.ABE in Patients With Urea Cycle Disorders.


NCTID NCT07667387 (View at clinicaltrials.gov)
Description
Development Status 🔄 Active
Indication Urea Cycle Disorders, Carbamoyl-Phosphate Synthase I Deficiency
Disease Ontology Term 🔄 DOID:9267
Compound Name 🔄 LNP.UCD.ABE
Compound Description 🔄 personalized variant-specific LNP.UCD.ABE
Sponsor Rebecca Ahrens-Nicklas
Funder Type Other
Recruitment Status
Not yet recruiting
Enrollment Count 7 (ESTIMATED)
Results Posted Not Available

Therapy Information


Target Gene/Variant 🔄 CPS1,OTC,ASS1,ASL,ARG,NAGS,SLC25A15
Therapy Type 🔄 Gene editing
Therapy Route 🔄 in vivo
Mechanism of Action 🔄 Mutation correction
Route of Administration 🔄 Intravenous
Drug Product Type 🔄 Encapsulated mRNA
Delivery System 🔄 Endocytosis
Editor Type 🔄 ABE mRNA
Dose 1 🔄 Undisclosed dose based on body weight with potential for repeat dosing

Study Record Dates


Current Stage Phase1, Phase2
Submit Date 2026-06-18
Completion Date 2028-07
Last Update 🔄 2026-06-29

Participation Criteria


Eligible Age 24 Hours - 5 Years
Standard Ages Child
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: 1. Diagnosis of a severe urea cycle disorder, in the judgement of the investigators; 2. Molecular testing demonstrating homozygosity or compound heterozygosity for a disease-causing mutation in a urea cycle disorder gene (CPS1, OTC, ASS1, ASL, ARG, NAGS, or SLC25A15) that is targeted by a variant-specific version LNP.UCD.ABE; 3. Current or historical biochemical testing consistent with a urea cycle disorder; 4. At least one of the subject's alleles must be amenable to base editing by LNP.UCD.ABE, as assessed in vitro; 5. A history of an ammonia level of ≥400 μmol/L prior to age 12 months, unless a diagnosis was made prenatally and care was initiated immediately after birth. If the patient is taking an ammonia scavenger medication, their ammonia level may currently be in the normal range. If the patient is diagnosed prenatally, then personal history, family history, or analysis of mutations should indicate a high likelihood of a severe UCD; 6. Subjects more than 8 weeks from the initial diagnosis of a severe UCD must have demonstrated a persistent need for dietary protein restriction and chronic administration of a nitrogen scavenger medication, and/or a recurrent hyperammonemic event, and/or a history of a hyperammonemic-induced seizure. 7. Weight \>3.5 kg at the time of screening; 8. Legal guardian(s) capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Exclusion Criteria: 1. Abnormal liver function, electrolyte, coagulation, or blood count laboratory values thought not attributable to the underlying urea cycle disorder; 2. Demonstrated need for urgent liver transplantation due to liver failure, in the opinion of the investigators; 3. Participation in a prior gene therapy trial or participation in a trial of an investigational product in the last 12 months; 4. History of liver transplantation; 5. Any other diseases or conditions that the investigators would consider to pose unacceptable risk to the subject; 6. Inability or unwillingness to comply with the visit schedule and study assessments; 7. Any genetic variation in the causative urea cycle disorder gene that, in the opinion of the investigators, may decrease the potential efficacy of the drug product; 8. History of severe hypersensitivity or anaphylaxis to polyethylene glycol (PEG)-containing products, such as PEG-containing vaccines or laxatives
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 1
Locations United States

Regulatory Information


Has US IND True
FDA Designations
Recent Updates This clinical trial protocol is a master protocol for participants with a mutation in one of the 7 genes that cause a urea cycle disorder. Participants with a variant that is amenable to correction by adenine base editing will receive a personalized drug product

Resources/Links